Clinical Care Home Nurse

• Supporting end-of-life care planning and advance care discussions for the residents in our care homes and completion of ReSPECT forms to ensure their wishes are met at end of life.
• To lead in the weekly home rounds and have the ability and knowledge to make decisions regards appropriateness of onward referrals and hold others to account for their delivery of actions.
• A responsibility for ensuring that the residents and care home managers within Newark PCN locality receive assistance in accessing health care interventions by signposting to the most appropriate person to provide care.

• Significant post-registration experience within community, primary care, care home or older adult services.
• Experience of multidisciplinary team working.
• Strong assessment, care planning and clinical decision-making skills

• To participate in the overall strategy for development and delivery of the Enhanced Health in Care Homes service across Newark PCN.
• Will lead in the weekly home rounds and have the ability and knowledge to make decisions regards appropriateness of onward referrals and to hold themselves and others to account for their delivery of actions from the home round.
• To take a significant role in the holistic assessment and treatment of patients in care homes with complex illnesses. To confidently consult with patients/families/carers to determine the needs of individuals and develop Respect forms to support care.
• To confidently make autonomous decisions following assessments and ensuring that information is collaboratively communicated back to GP colleagues in a timely and professional manner
• To make recommendations regarding patient management in accordance with Local and National guidelines
• Responsibility for consulting and collaborating with other health care professionals and specialists across both primary, secondary, social care and the voluntary care sectors.
• Demonstrate a good understanding of clinical governance and risk management and apply to work effectively alerting any risks and benefits when developing services and practice in new areas.
• To facilitate clinical supervision to clinicians who are working within the service and to provide mentorship for clinicians developing advanced skills.
• Keep abreast of new developments in treatment and technology.
• Communications across the MDT is a critical element for this role. Information will be shared across providers, and the post holder will support the voice of the residents and care homes as equal members of the MDT.
• Utilising and interpreting data, to support service improvement for care homes and primary care, as well as understanding the demands on urgent and emergency services to reduce avoidable activity where possible.
• As a senior clinician there may be a requirement to support local and system wide meetings as appropriate and have a visible presence across the care homes, GP practices and Integrated Care Board work streams which have relevance for care homes in the absence of the clinical lead for the service.
• The post holder is responsible for ensuring that the residents and care home managers within Newark PCN locality receive assistance in accessing health care interventions by signposting to the most appropriate person to provide care.

• PCN Clinical Directors and Care Home Lead
• Care home owners, managers and staff
• GPs working in aligned practices
• Community Geriatrician
• Secondary care consultants and specialist nurses
• Community matrons
• Community therapy and community nursing services
• Locality district and Social Services Departments
• Voluntary Sector
• CQC
• Quality monitoring team

• To be responsible for maintaining own competency to practice through Continuing Professional Development activities and to participate in the review and appraisal process.
• To adhere to the individual Professional code of conduct and practice at all times.
• To reflect on own practice individually and through regular clinical supervision.
• To participate in any relevant training/course/conferences to maintain own professional development.
• To maintain, develop and disseminate specialist knowledge of evidence-based practice.
• To critically evaluate own work through the use of evidence-based projects, audits and outcome measures.
• To work autonomously as a Clinical Care Homes Lead within professional and PICS guidelines, policies and procedures.

• Demonstrate advanced communication skills in providing advice, empowerment, facilitation, influence, motivation and counselling.
• Manage complex communication issues that may arise between differing health and social care professionals.
• Demonstrate an understanding of the need to involve patients and carers in decision making, offering them informed choices, respecting their views.
• Seek out different styles and methods of communicating to assist longer term needs and aims.
• The nature of some communication can be unpredictable and can be of an urgent high priority nature: this can therefore be responsible for impacting into time allocated towards other necessary tasks.
• As a senior clinician manage difficult and challenging conversations, providing clarity and information to seek a mutually agreeable position between parties.

• This post demands a range of developed skills from a wide and varied background, experience and a broad yet deep knowledge base underpinned with a proven track record and/or an academically scrutinised knowledge base.
• Working with care home staff where English is not the first language to promote education and training.
• Analytical judgement underpinned with specialist knowledge and experience is used to develop evidenced based holistic personal care plan with patients, carers, relatives and health care professionals based on a full assessment of medical, nursing, and social care needs.
• Provide evidence based written information, ensuring easy access to advice and information for patients and their carers.
• Acts a role model demonstrating high standards of care and providing clinical leadership to others.
• Provides specialist education and training to other professionals involved in patient care.
• Participate in the education, induction programmes and support meetings for other professional staff.
• Actively participate in other multi-professional meetings, acting as the patient advocate.
• Monitor own performance by reflective practice and identify training and educational needs.
• Contributes to the identification of service goals and appreciates how this links in with performance targets and quality indicators.
• Engage in local and organisational audit.
• Regular self-direction of learning needs.
• Maintain up to date mandatory training records.

• To maintain accurate and comprehensive documentation in line with legal, professional and organisational requirements. Ensure all information regarding each patient related contact is recorded within SystmOne records.
• Disseminate research and audit findings through presentation to multi-professional groups and publication.
• Contribute to the development and implementation of policies, procedures and guidelines relevant to own area of work, which may have an impact across the organisation.
• Promote patient and public involvement activities in the specialist area, leading to service improvement.

• NHS Pension 2015 Scheme (subject to eligibility)
• Alternative government-based scheme (subject to eligibility)
• Competitive leave entitlement that includes maternity, paternity and adoption leave, study leave allowance, and sickness provisions
• Access to education and training opportunities, depending on your role (CPPE Pharmacy, NHS England Roadmap for First Contact Practitioners, apprenticeship schemes, support professional development)
• Working in a multi-disciplinary team with support from a wide variety of professionals
• A flexible approach to a work-life balance
• Cycle to work scheme (subject to eligibility)
• Access to Blue Light Card scheme
• All staff events and conferences
• Staff engagement (Wellbeing Group, EDI Network, Staff Focus group)
• Free parking across many sites
• Personalised induction into the company and job role

Essential

• Please provide detailed information of how you feel that your knowledge and skills are suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.

Essential

• Please provide detailed information of how you feel that your experience is suitable for this role; please provide examples to support your application referring to the job description and person specification for guidance.